Organization Active NPI

Neosho Residential, LLC

  • Assisted Living Facility
  • Neosho, MO
National Provider Identifier
1689621435
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
NEOSHO RESIDENTIAL, LLC
Doing business as
Henley Place Residential Living
Henley Place of Neosho, a Senior Residence by Americare
Springhill Assisted Living
Practice address
1105 Village Rd
Neosho, MO 64850-9076
Phone
(417) 451-1000
NPI assigned
May 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kyle Timothy Schade
Title
Manager
Phone
(573) 471-1113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1105 Village Rd
Neosho, MO 64850-9076

Mailing address

1105 Village Rd
Neosho, MO 64850-9076
Phone (417) 451-1000

Other names 3

  • Henley Place Residential Living Doing business as
  • Henley Place of Neosho, a Senior Residence by Americare Doing business as
  • Springhill Assisted Living Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D0936329Henley Place of Neosho1105 Village Road, Neosho, MO 64850Certificate of waiverNov 18, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773100800000",
    "number": "1689621435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 VILLAGE RD",
            "city": "NEOSHO",
            "state": "MO",
            "postal_code": "648509076",
            "telephone_number": "417-451-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 VILLAGE RD",
            "city": "NEOSHO",
            "state": "MO",
            "postal_code": "648509076",
            "telephone_number": "417-451-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEOSHO RESIDENTIAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A",
        "authorized_official_last_name": "SCHADE",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "TIMOTHY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "573-471-1113"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Henley Place Residential Living",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Henley Place of Neosho, a Senior Residence by Americare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Henley Place of Neosho, a Senior Residence by Americare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Springhill Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Neosho, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.